MR. JOSE DAVID AVILA M.D.
NPI 1639481872
Psychiatry & Neurology - Neurology in Danville, PA

Active since July 03, 2010PECOS EnrolledAccepts Medicare Assignment
100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6590(570) 271-5874 Get Directions Write a Review

NPPES record last updated: August 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2020, Dec 2, 2018, Oct 10, 2016 (3 updates tracked since 2016).

About Mr. Jose David Avila M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOSE DAVID AVILA M.D. (NPI 1639481872) is an individual neurology provider in Danville, Pennsylvania, licensed in Pennsylvania (MD452926) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1639481872
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. JOSE DAVID AVILACredential: M.D.
Location Address100 N ACADEMY AVEDanville, PA 17822-1405
Mailing Address100 N Academy AveDanville, PA 17822-1405 · (570) 271-6472
Fax(570) 271-5874
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 3, 2010
Last NPPES UpdateAugust 30, 20203 updates tracked since enumeration
NPPES CertifiedAugust 30, 2020
NPI 1639481872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · MD452926
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License MD452926 (PA)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License MD452926 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT197704 (PA)
100 N ACADEMY AVE, Danville, PA 17822

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jose David Avila M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436445533
PECOS Enrollment IDI20160915000277
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
52 services31 patients
Limited ultrasound scan of joint or other extremity structure except blood vessels 76882
A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.
33 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier13 claims13 services$922.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Dietitian, Registered
100 N ACADEMY AVE
DANVILLE, PA 17822
Emergency Medicine
100 N ACADEMY AVE
DANVILLE, PA 17822
Physician Assistant
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics
100 N ACADEMY AVE
DANVILLE, PA 17822
Surgery (Pediatric Surgery)
100 N ACADEMY AVE
DANVILLE, PA 17822
Pediatrics (Neonatal-Perinatal Medicine)
100 N ACADEMY AVE
DANVILLE, PA 17822
Nurse Anesthetist, Certified Registered
100 N ACADEMY AVE
DANVILLE, PA 17822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Avila's NPI number?

The NPI number for Jose Avila is 1639481872. It was assigned to this individual provider in the NPPES registry on July 3, 2010.

Where is Jose Avila located?

Jose Avila practices at 100 N Academy Ave, Danville, PA 17822. The listed phone number is (570) 271-6590.

What is Jose Avila's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jose Avila enrolled in Medicare?

Yes. Jose Avila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jose Avila accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jose Avila as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jose Avila affiliated with any hospitals?

According to CMS data, Jose Avila is affiliated with Geisinger Medical Center and Geisinger-Lewistown Hospital.

When was this NPI record last updated?

The NPPES record for Jose Avila was last updated on August 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.